Episode 259: Keywords part 23: Pulse-Ox and hemoglobinopathies part 1
Jul 16, 2023
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Dr. Gillian Isaac, expert in ABA key words, discusses pulse oximeters and hemoglobinopathies. The podcast covers the basics of pulse oximetry, its limitations, and the effects of methylene blue and met hemoglobinemia. The speakers also explore the accuracy of pulse oximetry, substances that can affect readings, and the use of methylene blue in surgeries and treatment. They discuss the association between benzocaine and methemoglobinemia, the side effects of vasodilators, and the diagnosis and treatment of a cyanotic and incoherent patient. The hosts also share random recommendations.
Dual wavelength pulse oximetry involves using two different light wavelengths to calculate oxygen saturation.
Hemoglobinopathies, including methemoglobinemia and carboxyhemoglobinemia, can affect the accuracy of pulse oximetry readings.
Deep dives
Keywords: Pulse Oximetry and Monitoring Methods
This podcast episode discusses the importance of pulse oximetry and monitoring methods. The main points include the basics of how pulse oximetry works, its limitations, and the keywords commonly tested in exams. The episode covers ASA standards for monitoring, effects of methylene blue and methemoglobinemia on pulse oximetry, and the impact of nail polish and hemoglobinopathies on pulse ox readings.
Understanding Dual Wavelength Pulse Oximetry
The episode explains the concept of dual wavelength pulse oximetry, which involves using two different wavelengths of light to calculate oxygen saturation. It highlights the absorbance characteristics of oxyhemoglobin and deoxyhemoglobin at specific wavelengths. It also emphasizes the limitations of pulse oximetry, such as interference from ambient light and nail polish.
Methemoglobinemia and Carboxyhemoglobinemia
The podcast delves into the topics of methemoglobinemia and carboxyhemoglobinemia. It explains the causes, effects, and treatments for these conditions. It emphasizes the role of drugs like benzocaine, prilocaine, and nitroglycerin in causing methemoglobinemia. It also discusses the impact of carboxyhemoglobin on pulse oximetry readings.
Other Hemoglobinopathies and Monitoring Methods
The episode briefly touches on other hemoglobinopathies, such as sulfhemoglobinemia, and their effects on pulse oximetry. It mentions the importance of knowing the wavelengths at which different types of hemoglobin absorb light. The podcast also recommends external resources for better understanding the physics behind pulse oximetry. Overall, the episode emphasizes the significance of pulse oximetry and its relevance in anesthesia practice.
In this 259th episode I welcome Dr. Gillian Isaac back to the show to discuss another set of ABA key words. We discuss the pulse oximeter and some hemoglobinopathies that can affect its readings.